OrganizationActive
1101 Dental, PLLC
NPI 1750689030 · Dentist · Grand Forks, ND
Provider details
- NPI number
- 1750689030
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Heather Petricig, Owner/Dentist(701) 795-1101
- License
- 2083 (ND)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 S Columbia Rd
Unit B
Grand Forks, ND 58201-4055
Phone: (701) 795-1101
Fax: (701) 795-1102
Street-level locationGet directions
Mailing address
1101 S Columbia Rd
Grand Forks, ND 58201-4055
Registry dates
- Enumerated
- 2011-03-10
- Last updated
- 2011-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.